Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1993
Offers telehealth
NPI: 1518078807
Practice Locations (1)
YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC
820 AINSWORTH DR, SUITE A
PRESCOTT, AZ 863011613
9287780827
Source: CMS National Downloadable File, September 2026.